Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
Bumrungrad International Hospital specializes in oncology services for international patients, with over 1 million annual visits. The facility is recognized among the top 10 hospitals globally and offers advanced surgical treatments for stomach cancer. Dr. Yongyut Sirivatanauksorn provides expertise as an oncosurgeon specializing in gastrointestinal tract procedures.
Bumrungrad International Hospital is one of Southeast Asia's largest private medical centers. Over one million patients choose it each year, including a 50% international mix from 190+ countries. Its core specialties include oncology, cardiology, orthopedics, ophthalmology, neurosciences, and health screenings.
Expert Clinic is a private multidisciplinary medical center in Uzhhorod, Ukraine. It sees 15,000 patients each year across 30 departments. Its main specialties include gastroenterology, urology, gynecology, and oncology.
Expert Clinic is a private multidisciplinary medical center in Uzhhorod, Ukraine. It sees 15,000 patients each year across 30 departments. Its main specialties include gastroenterology, urology, gynecology, and oncology.
Medipol Acibadem District Hospital specializes in stomach cancer surgery using the da Vinci robot-assisted system for advanced surgical procedures. The clinic offers premium services and exclusive care with expert physicians and state-of-the-art technology.
Medipol Acibadem District Hospital is a JCI-accredited multispecialty hospital, the 11th in the Medipol Education and Health Group. It specializes in medical oncology, orthopedics, gynecology, and weight loss surgery. The hospital uses the da Vinci robot system for advanced surgeries.
Prof. Dr. Thomas Kraus has performed 3,000+ intestinal operations, specializing in gastrointestinal and pancreatic cancer surgery. The clinic is one of only 22 ESMO-certified oncology centers worldwide, offering multidisciplinary tumor board reviews. Video consultations with the tumor board may cost around 560 USD, typically including input from both surgical and medical oncologists. The center holds TÜV certification and is led by Prof. Kraus, recognized as a state-wide expert in pancreas surgery.
","text_type":"mt_wow_description","best_texts":{"techniques":"Esophagectomy, gastroenterostomy, gastrectomy, resection of the esophagus","good_fit_for":"Complex stomach cancer cases","why_its_ranked":"ESMO-certified oncology center with specialized surgical techniques. Doctors have performed 3,000+ intestinal surgeries, ensuring high expertise in gastrointestinal cancer treatment."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":22000,"price_to":38000,"currency":"USD","id":6491},"operation":{"id":122,"name":"Stomach cancer surgery","alias":"gastrectomy"}},{"prices":{"price_from":500,"price_to":1300,"currency":"USD","id":13900},"diagnostic":{"id":96,"name":"CT (computer tomography)","alias":"ct"}},{"prices":{"price_from":450,"price_to":900,"currency":"USD","id":12561},"diagnostic":{"id":455,"name":"Brain MRI","alias":"brain-mri"}}],"reviews":[],"clinic":{"id":136,"alias":"clinic-nordwest","name":"Nordwest Clinic (Krankenhaus)","short_description":"Nordwest Clinic is a German hospital that developed innovations like 3D ultrasound and anticancer vaccines. Its main specialties are oncology, orthopedics, cardiology, neurology, gynecology, urology, and surgery. Named a TOP German hospital by Focus and among the World's Best Hospitals by Newsweek.
Prof. Dr. Serdar Bedii Omay, a hematologist with over _doctor_2835_years_ of experience, specializes in Hematology and Bone Marrow Transplantation, offering advanced stomach cancer treatments at the JCI-accredited Emsey Hospital. His extensive training includes a PhD from Japan Mie Medical School and authorship of 65 scientific articles. Stomach cancer surgery typically costs around $14,500–$20,000.
Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
Interbalkan European Medical Center is a multidisciplinary hospital linked with Massachusetts General Hospital and Harvard University. It specializes in robotic surgery, cardiac surgery, neurosurgery, and oncology. The center belongs to Athens Medical Group, Greece's largest hospital network.
Interbalkan European Medical Center is a multidisciplinary hospital linked with Massachusetts General Hospital and Harvard University. It specializes in robotic surgery, cardiac surgery, neurosurgery, and oncology. The center belongs to Athens Medical Group, Greece's largest hospital network.
Dr. Paik Nam-sun, listed among the world’s top 100 gastric cancer surgeons, pioneered a unique stomach cancer surgery that reduces gastroesophageal reflux risk. He heads the Cancer Center for Women at Ewha Womans University Medical Center and has over _doctor_1668_years_ of experience in surgical oncology. The clinic specializes in minimally invasive techniques for women, focusing on aesthetic outcomes with reduced scarring.
Ewha Womans University Medical Center is a JCI-accredited women-only hospital founded in 1887. It specializes in breast, thyroid, and urogenital cancer care, plus joint replacement and robotic surgery. Affiliated with the country's largest women's university.
Impuls Medical Center runs two multidisciplinary clinics in Kyiv with 25 doctors. Its core specialties are emergency care, diagnostics, neurology, and cardiology. Each clinic has its own lab and backup diesel generator for reliable power.
Impuls Medical Center runs two multidisciplinary clinics in Kyiv with 25 doctors. Its core specialties are emergency care, diagnostics, neurology, and cardiology. Each clinic has its own lab and backup diesel generator for reliable power.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Memorial Şişli Hospital holds JCI and ISO 15189 accreditations for diagnostic imaging standards. A PET/CT scan typically costs around $700–$800 at this Istanbul facility. For specific prostate imaging, a PSMA PET/CT scan may cost around $1,700. Professor Serkan Keskin oversees diagnostic interpretation with over 20 years of experience in clinical oncology. He is a member of both ASCO and ESMO. The hospital provides transparent pricing to help patients manage their medical expenses without hidden fees.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":437,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}},{"card":{"text":"Hisar Hospital Intercontinental holds JCI accreditation for quality and safety. A PET/CT scan typically costs around $700. This price covers the procedure, hospital transfers, and a professional interpreter. A combined package including an oncologist consultation costs around $900. Dr. Mustafa Solak oversees oncology cases with over 15 years of experience. He completed an international fellowship at the MD Anderson Cancer Center. Patients must refrain from eating for 8 hours before this outpatient exam.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Specializes in surgical treatment of stomach cancer and other abdominal oncological diseases at Dievo Surgery Center.
Dr. Abu Shamsiya Rami Nuamanovych is a surgical oncologist and gastrointestinal specialist at Dievo Surgery Center. He serves as a consultant for the World Health Organization regarding laparoscopic procedures. Dr. Nuamanovych has performed thousands of surgeries, including bariatric and complex cancer operations. He is the President of the Association of Arab Doctors of Ukraine.
Dievo Surgery Center is a private multispecialty clinic in Kyiv with European Board of Urology accreditation. It focuses on urology, surgery, proctology, and plastic surgery. Over 4,000 patients from Europe, the US, and Australia come here each year.
Specialist in gastrointestinal tract treatment – Dr. Yongyut focuses on stomach cancer surgery at Bumrungrad International Hospital.
Dr. Yongyut Sirivatanauksorn is a surgical oncologist at Bumrungrad International Hospital in Bangkok. He treats cancers of the digestive system, including pancreatic, liver, and stomach cancer. He works at a hospital that treats over 1 million patients annually, holds JCI accreditation, and was named among the World’s Best Hospitals by Newsweek.
Bumrungrad International Hospital is one of Southeast Asia's largest private medical centers. Over one million patients choose it each year, including a 50% international mix from 190+ countries. Its core specialties include oncology, cardiology, orthopedics, ophthalmology, neurosciences, and health screenings.
Prof. Thomas W Kraus has performed over 3,000 complex surgical interventions, specializing in stomach oncology and Whipple procedures at Nordwest Clinic.
Dr. Thomas W Kraus is the Chief Physician at Nordwest Clinic in Frankfurt. He has performed over 3,000 surgical interventions for bowel and gastrointestinal diseases. Dr. Kraus specializes in the Whipple procedure, stomach oncology, and hepatobiliary surgery. He trained at world-renowned centers like Johns Hopkins and Memorial Sloan Kettering.
Nordwest Clinic is a German hospital that developed innovations like 3D ultrasound and anticancer vaccines. Its main specialties are oncology, orthopedics, cardiology, neurology, gynecology, urology, and surgery. Named a TOP German hospital by Focus and among the World's Best Hospitals by Newsweek.
Invented a unique stomach cancer surgery that reduces reflux risk – Dr. Paik is among the world's top 100 gastric surgeons.
Dr. Paik Nam-sun is a surgical oncologist at Ewha Womans University Medical Center in Seoul. He is recognized as one of the world's top 100 gastric and breast cancer surgeons. He performed the first breast-conserving surgery in South Korea. Dr. Paik also invented a proprietary stomach cancer technique to reduce reflux disease risk.
Ewha Womans University Medical Center is a JCI-accredited women-only hospital founded in 1887. It specializes in breast, thyroid, and urogenital cancer care, plus joint replacement and robotic surgery. Affiliated with the country's largest women's university.
Dr. Serdar Bedii Omay is a hematologist-oncologist at Emsey Hospital in Istanbul. He has published over 60 scientific articles on hematology and bone marrow transplantation. Dr. Omay earned a PhD from Mie Medical School in Japan. He treats adult and pediatric patients with complex blood disorders.
Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
Dr. Selahattin Tugrul is an ENT Professor at Medipol Acibadem District Hospital in Istanbul. He specializes in complex surgeries for hearing loss, sleep apnea, and nasal polyps. Dr. Tugrul earned his doctorate and specialty training at Istanbul University. He previously served as a Professor at Bezmiâlem Vakıf University for over ten years.
Medipol Acibadem District Hospital is a JCI-accredited multispecialty hospital, the 11th in the Medipol Education and Health Group. It specializes in medical oncology, orthopedics, gynecology, and weight loss surgery. The hospital uses the da Vinci robot system for advanced surgeries.
Prof. Serkan Keskin brings 24 years of oncology experience with 900+ gastric procedures performed. Stomach cancer surgery at Memorial Şişli may cost around $10,690–25,000 – typically covering the procedure, 5-7 nights, pathology tests, and transfers. The hospital holds JCI accreditation – Turkey's first – and follows NCCN/ESMO protocols. Prof. Keskin ranked first in Turkey's national oncology exam and has 42 international publications.
","package_price":27780,"actual_price":27780,"calculated_price":{"from":0,"to":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":11566,"name":"Mert Tanal","alias":"mert-tanal","photo":"doctor/69c6270729067","first_year_working":2021,"short_description":"Dr. Mert Tanal is a general surgeon at Memorial Şişli Hospital in Istanbul. He earned the European Board of Surgery Qualification (EBSQ), a prestigious professional standard in Europe. Dr. Tanal is an active member of the American College of Surgeons.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":436},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}}},{"image_count":0,"images":[],"offer":{"id":"6a56604f5c611489b9bdb2cf","name":"Radical Total Gastrectomy (Including Splenectomy and Minimum D2 Lymph Node Dissection)","type":"procedure","tags":[],"for_who":"Memorial Bahçelievler Hospital holds JCI accreditation and was the first in Turkey to earn LEED Platinum status. Each case undergoes a multidisciplinary oncology council review to build a personalized roadmap. Prof. Dr. Kezban Nur Pilanci oversees the medical oncology protocols, including a structured 6-cycle chemotherapy regimen. Surgeons here perform stomach cancer surgery using the Da Vinci robotic system or laparoscopic techniques. These minimally invasive approaches help speed up recovery after the procedure.
Dr. Erman Aytac is a professor of surgery at Memorial Bahçelievler Hospital. He specializes in colorectal surgery, digestive oncology, and inflammatory bowel diseases. Dr. Aytac completed a prestigious fellowship at the Cleveland Clinic Digestive Diseases Institute.
Memorial Bahçelievler Hospital is Turkey’s first LEED Platinum-certified hospital. It is part of the country’s largest healthcare network, Memorial Healthcare Group. Its core specialties include oncology, cardiovascular surgery, orthopedics, and robotic surgery.
Dr. Koray Karabulut is a general surgeon at Memorial Göztepe Hospital in Istanbul. He specializes in liver transplantation and robotic HPB surgery. He completed a research fellowship in liver tumors at the Cleveland Clinic. He also trained in minimally invasive surgery at IRCAD in France.
Memorial Göztepe Hospital is the 13th hospital of the Memorial Health Group, with over 25 years of experience. Its main specialties are cancer care, cardiovascular care, orthopedics, and neurology. The hospital spans 81,000 m² with 127 outpatient clinics and 19 operating rooms.
This operation removes stomach tumors, helping curb cancer spread and alleviate symptoms, aiding overall survival and wellbeing.
"},"156":{"operation":{"name":"Omentectomy ","alias":"omentectomy","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5500,"max_amount":7200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4200,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"The operation removes the fatty layer in the abdomen, known as omentum, to treat or prevent abdominal diseases.
"},"216":{"operation":{"name":"Esophagectomy","alias":"esophagectomy","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":125000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":25000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":20000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":56000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":26000,"max_amount":35000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure involves removing a part of the esophagus to treat various abnormalities, ensuring improved swallowing ability.
"},"468":{"operation":{"name":"Gastroenterostomy","alias":"gastroenterostomy","use_for_listing":false},"country_price":{"US":{"amount":38000,"max_amount":64000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":16000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":8800,"max_amount":18000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure connects stomach and small intestine, aiding digestion by bypassing a blocked or diseased area of the stomach.
"},"719":{"operation":{"name":"Gastroectomy","alias":"gastroectomy","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":26000,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":14500,"max_amount":23500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":37000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":10500,"max_amount":25500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The operation removes all or part of your stomach to treat stomach diseases, improving your quality of life.
"},"720":{"operation":{"name":"Da Vinci gastroectomy ","alias":"da-vinci-gastroectomy","use_for_listing":true},"country_price":{"US":{"amount":48000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":21500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":15500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":13300,"max_amount":23000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"This surgery, done robotically, targets stomach problems by removing parts or whole of it, offering precision and quick recovery.
"},"741":{"operation":{"name":"Resection of the esophagus","alias":"resection-of-the-esophagus","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":145000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":26900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":26000,"max_amount":41000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"The operation involves removing part of the food pipe to treat specific diseases.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncology","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","regional"],"back_to_work_days":{"min":28,"max":60,"unit":"days","qualifier":"After open or laparoscopic gastrectomy; desk work may resume sooner than physical work; adjuvant chemotherapy can delay return."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; major leak, bleeding or abscess about 3-10%."},"contraindications":["Distant metastases making curative resection impossible","Unacceptable cardiopulmonary or operative risk (relative; multidisciplinary assessment)","Uncorrectable severe coagulopathy","Locally unresectable invasion of critical structures"],"days_in_clinic":{"min":6,"max":10,"unit":"nights","qualifier":"Typical uncomplicated gastrectomy with enhanced recovery care; longer if complications or extended lymphadenectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous exercise after surgeon clearance, often after about 6 weeks or more."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Digestion and weight stabilize over months; depends on resection extent (total vs distal) and adjuvant chemotherapy."},"fly_home_after_days":{"min":9,"max":14,"unit":"days","qualifier":"Counted from surgery, after discharge and clearance; depends on thrombosis risk, oral intake, complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative review, often with pathology results."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":35,"unit":"days","qualifier":"Pathology review and planning of adjuvant treatment if indicated."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Oncologic and nutritional surveillance; schedule varies by stage and protocol."}}],"indications":["Resectable gastric adenocarcinoma","Early gastric cancer unsuitable for endoscopic resection","Selected palliative cases such as bleeding or obstruction"],"main_risks":["Anastomotic or duodenal stump leak","Infection, abscess, wound complications","Bleeding","Pneumonia and thromboembolism","Delayed gastric emptying","Dumping syndrome, reflux, weight loss and malnutrition","Vitamin B12 and iron deficiency (especially after total gastrectomy)","Anastomotic stricture"],"pain":"Moderate to significant postoperative pain for the first several days, managed with multimodal analgesia (epidural or regional blocks, oral/IV analgesics); less with laparoscopic approach.","preparation":["Staging (endoscopy with biopsy, CT, sometimes EUS or laparoscopy)","Multidisciplinary tumor board review","Nutritional assessment and optimization","Cardiopulmonary and anesthesia assessment","Smoking cessation and prehabilitation where possible","Fasting before surgery per anesthesia team instructions","Review of current medications with the care team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Early mobilization, gradual return to oral intake, monitoring for leaks and complications.","restrictions":["Progressive diet from liquids","No heavy lifting"]},{"phase":"Early home recovery (days 10-42)","description":"Small frequent meals, wound healing, fatigue improving; pathology review and adjuvant therapy planning.","restrictions":["No lifting over about 5 kg","Avoid strenuous activity"]},{"phase":"Late recovery (weeks 6-12)","description":"Gradual return to normal activity and diet adaptation; nutritional supplementation as needed.","restrictions":["Increase exercise gradually after surgeon clearance"]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated gastrectomy; dietary adaptation may continue longer."},"result_longevity":"Anatomical changes are lifelong. Long-term outcome depends on cancer stage, margins and adjuvant therapy; recurrence is possible, so surveillance is needed for at least 5 years.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned reoperation within 30-90 days, mainly for leak, bleeding or obstruction."},"scars":"Midline or upper abdominal incision scar after open surgery; several small port-site scars after laparoscopic or robotic surgery, plus a small extraction incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; perioperative chemotherapy is separate and not included."},"stages":[{"code":"gastrectomy","label":"Partial or total gastrectomy with lymphadenectomy and reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operative session."}}],"qualifier":"Uncomplicated primary curative gastrectomy."},"success":{"metric":"5-year overall survival after curative gastrectomy","value":60,"unit":"percent","horizon":"5 years","population":"Adults with resectable gastric adenocarcinoma, all stages combined, treated with curative intent","evidence_status":"limited"},"techniques":[{"name":"Total gastrectomy with Roux-en-Y reconstruction","suits_whom":"Patients with proximal or middle-stomach tumors or diffuse-type cancer.","recovery":"Longer recovery and greater nutritional impact."},{"name":"Distal (subtotal) gastrectomy","suits_whom":"Patients with distal tumors where an adequate margin allows a proximal remnant.","recovery":"Generally faster recovery with better nutrition than total gastrectomy."},{"name":"Laparoscopic or robotic gastrectomy","suits_whom":"Selected patients, particularly early or less advanced tumors, in experienced centers.","recovery":"Often shorter hospital stay and less pain than open surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operative time for a single gastrectomy with lymphadenectomy and reconstruction."},"initial_assessment_documents":["Gastroscopy report with biopsy pathology","Contrast-enhanced CT scan of chest and abdomen","Endoscopic ultrasound report (if available)","PET-CT report (if available)","Recent blood tests including hemoglobin and albumin","HER2 and MSI status report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 10-14 days including recovery before flight. Second trip only for surveillance or adjuvant care."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many total gastrectomy operations the surgeon performs each year","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"How many total gastrectomy operations do you perform each year?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask the surgeon for their personal complication rate with this operation","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"What is your personal complication rate with this operation?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Ask whether the surgeon checks margins in the operating room to confirm all gastric tissue is removed","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you check margins in the operating room to confirm that all gastric tissue has been removed?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether the surgeon routinely places a feeding tube during this operation","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you routinely place a feeding tube during this operation?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask who will be responsible for your post-gastrectomy care if the surgeon is not your follow-up 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